NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1326069006 M.D.
Verify on CMS → Terry Cone, M.D.
Family Medicine Physician in Columbus, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
698
Medicare Part D claims · 195 beneficiaries · Family Medicine Physician avg: 3K
Industry payments
$250.13
16 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Terry Cone, M.D. filed 698 Medicare Part D claims in 2023 as a Family Medicine Physician in Columbus, Georgia.
- 698
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥69th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1326069006 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1326069006
- ENUM-LEGACY 2006
- TAX-MEGA 148K Family Medicine
- RX-LIGHT 698
- BOOK-LIGHT 3,727 in Georgia
- PHOTO-ENUM Zachary Campbell · 2006
Terry Cone, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
698 ≥ 69th percentile 69% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Terry Cone, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Terry Cone, M.D.?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
698 80% vs specialty avg
Specialty distribution in Georgia
How Family Medicine Physician compares to other specialties among Georgia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1326069006 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/21/2006 |
Hospital and facility affiliations
Facilities where Terry Cone, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Shamil PC
Columbus, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Terry Cone, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$250
Largest payer
Bayer Healthcare Pharmaceuticals Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
698
Total Claims
$71K
Total Drug Cost
195
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,310
- Total Day Supply
- 38,161
- Generic Drug Cost
- $13K
- Opioid Claims
- 59 (8.5% rate)
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 72.2 years
- Avg HCC Risk Score
- 1.61
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 34, 65-74: 83, 75-84: 63, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Terry Cone, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Rosuvastatin Calcium
Rosuvastatin Calcium
40 claims
- Amlodipine Besylate
Amlodipine Besylate
33 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
29 claims
- Lisinopril
Lisinopril
22 claims
- Allopurinol
Allopurinol
18 claims
- Tramadol Hcl
Tramadol Hcl
18 claims
- Alprazolam
Alprazolam
17 claims
- Carvedilol
Carvedilol
17 claims
| Drug | Claims |
|---|---|
| Rosuvastatin Calcium | 40 |
| Amlodipine Besylate | 33 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 29 |
| Lisinopril | 22 |
| Allopurinol | 18 |
| Tramadol Hcl | 18 |
| Alprazolam | 17 |
| Carvedilol | 17 |
| Levothyroxine Sodium | 16 |
| Olmesartan Medoxomil | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Terry Cone, M.D. fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Terry Cone, M.D.'s 698 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Cone, both outside Georgia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Cone.
One of 3,727 Family Medicine Physician providers enrolled in Georgia, 5 are shown here.
Dr. Hayden Aaron
MD
Atlanta, GA
Dr. Margaret Abate
MD
Covington, GA
Dr. Suzanne Abbasi
MD
Grovetown, GA
Dr. Zia Abdi
MD
Atlanta, GA
Dr. Hamdi Abdirahman
MD
Dahlonega, GA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Terry Cone, M.D.'s specialty? ▼
Terry Cone, M.D. specializes in Family Medicine Physician and practices in Columbus, Georgia. Credentials: M.D..
How much does Terry Cone, M.D. prescribe under Medicare Part D? ▼
In 2023, Terry Cone, M.D. wrote 698 Medicare Part D claims totaling $71K in drug costs for 195 beneficiaries.
Where is Terry Cone, M.D. located? ▼
Terry Cone, M.D. is located at 2300 MANCHESTER EXPRESSWAY SUITE F-5, Columbus, GA, 31904. Phone: (706) 494-0321.
What is Terry Cone, M.D.'s NPI number? ▼
Terry Cone, M.D.'s National Provider Identifier (NPI) is 1326069006, issued on 07/21/2006.
Does Terry Cone, M.D. prescribe opioids? ▼
Yes, Terry Cone, M.D. had 59 opioid claims in 2023 with an opioid prescribing rate of 8.5%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Terry Cone, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Terry Cone, M.D.'s most frequently prescribed drugs include Rosuvastatin Calcium, Amlodipine Besylate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terry Cone, M.D. accept Medicare? ▼
Terry Cone, M.D. appears in CMS Medicare data with 698 Part D claims and 195 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terry Cone, M.D.'s credentials? ▼
Terry Cone, M.D.'s NPI is 1326069006 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.